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空间与民族健康不平等:以色列巴勒斯坦人和犹太人之间的健康与死亡率差距

Spatial and Ethno-national Health Inequalities: Health and Mortality Gaps between Palestinians and Jews in Israel.

作者信息

Saabneh Ameed

机构信息

University of Haifa, Haifa, Israel.

出版信息

J Health Soc Behav. 2025 Jun;66(2):182-196. doi: 10.1177/00221465241283455. Epub 2024 Oct 22.

Abstract

This research adopts an analytical spatial perspective to explain ethno-national health inequality between Palestinians and Jews in Israel. The work identifies the forces that instigated and maintained the spatial segregation of Palestinians and elaborates the role of segregation in generating health gaps between Palestinians and Jews. The analysis suggests a novel conceptualization of two types of segregation: (a) exclusion from the center and confinement to the periphery and (b) segregation within the geographic periphery. Using administrative data on COVID-19 incidence, hospitalization, and death and various health indicators for localities, I devise a decomposition method that evaluates the relative contribution of each type of segregation to the total health gap. The findings indicate that the segregation of Palestinians from the center and their confinement to peripheral regions are crucial determinants of their poor health outcomes and that the segregation of the Palestinian community within the geographic periphery also contributes to poorer health.

摘要

本研究采用分析性空间视角来解释以色列巴勒斯坦人和犹太人之间的民族健康不平等。这项工作确定了促使并维持巴勒斯坦人空间隔离的力量,并阐述了隔离在造成巴勒斯坦人和犹太人之间健康差距方面所起的作用。分析提出了两种隔离类型的新颖概念:(a) 被排除在中心之外并被限制在边缘地区;(b) 在地理边缘地区内的隔离。利用关于新冠疫情发病率、住院率和死亡率的行政数据以及各地区的各种健康指标,我设计了一种分解方法,用以评估每种隔离类型对总体健康差距的相对贡献。研究结果表明,巴勒斯坦人被排除在中心之外并被限制在周边地区是其健康状况不佳的关键决定因素,而且巴勒斯坦社区在地理边缘地区内的隔离也导致了更差的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ae2/12125490/e173e6865b13/10.1177_00221465241283455-fig1.jpg

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